MassHealth
Credentialing and enrollment guides for MassHealth across 1 states.
Quick Overview
Timeline
30 - 90 days
CAQH
Not Required
Re-credentialing
Every 5 year(s)
States Available
1
About MassHealth
Massachusetts EOHHS — MassHealth
How to Get Credentialed
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and board certifications.
Prepare Your Application
Complete MassHealth's provider enrollment application with all required information and supporting documentation.
Submit Your Application
Submit your completed enrollment package to MassHealth. Select your state below for state-specific submission details.
Track & Follow Up
Credentialing typically takes 30-90 days. Monitor your application and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with MassHealth?
Our specialists handle the entire MassHealth enrollment process: applications, follow-ups, and approvals across all 50 states.
Required Documents
Background Check
CV/Resume
Malpractice Insurance
Required in most states; some state programs waive for government employees
Medical License
NPI Certificate
Enrollment Forms
MassHealth Provider Enrollment
Contact Information
Provider Credentialing
1-800-841-2900
Mon-Fri 8am-5pm
Provider Services
1-800-841-2900
Claims & Billing
1-800-841-2900
Quick Links
Available States
Reviewed by the PayerReady Credentialing Team
Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.
Select Your State
Choose your state for MassHealth-specific credentialing details including timelines, contacts, and local requirements.
MassHealth credentialing requirements by state
MassHealth enrollment is not identical everywhere. The table below lists what actually differs across the 1 state MassHealth operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Network | Timeline | State-specific notes |
|---|---|---|---|
| Massachusetts | Open | 30–90 days | Massachusetts Medicaid (MassHealth) enrollment steps: (1) Obtain NPI via NPPES. (2) Register through the EOHHS (Executive Office of Health and Human Services) POSC (Provider Online Service Center) portal. (3) Submit application with MA state license, proof of malpractice insurance, and required documentation. (4) Background check including state CORI and federal criminal history is required for all providers. MassHealth operates managed care through MCOs and Accountable Care Organizations (ACOs). Behavioral health providers accepted include LMHC, LICSW, LMFT, and Licensed Psychologist with active Massachusetts licensure. Revalidation is required every 5 years. |
Compiled and maintained by the PayerReady credentialing team from payer portals and direct payer contact. Last verified March 22, 2026. Network status changes without notice — confirm before you file.
Common questions about MassHealth credentialing
How long does MassHealth credentialing take?
MassHealth credentialing typically takes 30–90 days from a complete submission to an approved effective date. Incomplete applications are the main cause of delay: a missing document or an unattested CAQH profile restarts the clock rather than pausing it.
Does MassHealth require CAQH?
No. MassHealth does not enroll through CAQH ProView, so credentialing data is submitted directly on MassHealth's own application instead. You still need the same underlying documents — license, DEA where applicable, malpractice coverage and work history.
Which states does MassHealth operate in?
MassHealth has credentialing operations in 1 state. 1 of those 1 currently show an open panel. Requirements are not uniform: local plan names, provider portals and state-specific conditions differ, which is what the state-by-state table above records.